Using implementation intentions to teach practitioners: Changing practice behaviors via continuing education

Using implementation intentions to teach practitioners: Changing practice behaviors via continuing education
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DOI:
10.1176/appi.ps.59.7.747
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发表时间:
2008-07-01
影响因子:
3.8
通讯作者:
Casper, Edward S.
Casper, Edward S.
中科院分区:
医学3区
文献类型:
--
作者:
Casper, Edward S.

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目的:本研究评估了实施意图对参加为期一天的继续教育课程的精神卫生从业人员增加使用实践行为的有效性。方法:78个从业者被随机分配到两个班的精神病学预先指示。一个班纳入实施意图的指令(N=40),另一类没有(N=38)。实施意图培训参与者描述的最佳时间和地点,使用一个咨询师指导的程序,以帮助消费者完成精神病学的预先指示。在这项研究中,使用医生指导的程序是因变量。课程结束后三个月,通过电子自我报告调查评估了该程序在实践中的使用情况。结果如下:在参与者特征或前类或后类知识和使用程序的意图方面,两类条件之间没有统计学显着差异。54名参与者(69%)对三个月的随访调查做出了回应,表明他们使用了医生指导的程序。后续调查的结果显示,总体而言,参加包含实施意图的课程的人比其他课程的人更经常使用医生指导的程序(80%对58%)。实施意图对使用咨询师指导程序的影响在其课后意图高但低于总体样本中位数的从业者中是明显的(chi(2)= 7.1,df= 1,p
Objective: This study evaluated the effectiveness of implementation intentions on increasing the use of a practice behavior among mental health practitioners who attended a one-day continuing education class. Methods: Seventy-eight practitioners were randomly assigned to one of two classes on psychiatric advance directives. One class incorporated instruction in implementation intentions ( N=40) and the other class did not (N=38). Implementation intention training involved having the participants describe the best time and place to use a practitioner-guided procedure to assist consumers to complete a psychiatric advance directive. Use of the practitioner- guided procedure was the dependent variable in this study. Use of the procedure in practice was assessed three months after the class via an electronic self-report survey. Results: There were no statistically significant differences between the two class conditions in participant characteristics or preclass or postclass knowledge of and intentions to use the procedure. Fifty-four participants ( 69%) responded to the three-month follow-up survey, indicating that they had used the practitioner- guided procedure. The results of the follow-up survey showed that overall those attending the class that incorporated implementation intentions used the practitioner- guided procedure significantly more often than those in the other class ( 80% versus 58%). The effect of implementation intentions on utilization of the practitioner-guided procedure was evident among practitioners whose postclass intentions were high but below the median for the overall sample (chi(2)= 7.1, df= 1, p